HESI
HESI RN (Registered Nursing) and HESI PN (Practical Nursing)
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exams
Course Title and Number: HESI RN and PN Exit Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
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HESI Exit Version 1- 7 (V1- V7) Exam Review HESI Exit RN & PN
(Registered and Practical Nursing) Exam Questions and Answers
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2025- 2026
HESI RN & PN (Registered and Practical Nursing) Exit Exam
HESI Exit Exam
HESI Exit NGN (Next Generation NCLEX) Exam
HESI - Health Education Systems, Inc.
Read All Instructions Carefully and Answer All the Questions Correctly
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HESI Exit exam V1-7
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Terms in this set (818)
, A female client with Diminished left lower lobe sounds
acute respiratory
distress Rationale: Diminished lobe sounds indicate
syndrome (ARDS) is collapsed alveoli or tension pneumothorax, which
chemically paralyzed required
and sedated while immediate chest tube insertion to re-inflate the
she is on as assist- lung.
control ventilator
using 50% FIO2.
Which assessment
finding
warrants immediate
intervention by the
nurse?
a. Premature atrial
contractions (PAC)
b. Hemoccult-positive
nasogastric fluid
c. Diminished left lower
lobe sounds.
d. Increasing
endotracheal
secretions.
The development of 1. Arterial endothelium injury causes
atherosclerosis is a inflammation
process of sequential
events. Arrange the 2. Macrophages consume low density lipoprotein
pathophysiological (LDL), creating foam cells
events in orders of
occurrence. 3. Foam cells release growth factors for smooth
(Place the first event muscle cells
on top and the last on
the bottom) 4. Smooth muscle grows over fatty streaks
creating fibrous plaques
1. Arterial
endothelium 5. Vessel narrowing results in ischemia
injury causes
inflammation Rationale: Prolonged low blood pressure leads to
2. Macrophages renal ischemia, which is the common etiology of
consume low density acute tubular necrosis(ATN) Decreasing urine output
lipoprotein (LDL), is an
creating foam cells early indicator of ATN.
, 3. Foam cells
release
growth factors for
smooth muscle cells
4. Smooth muscle
grows over fatty
streaks creating
fibrous plaques
5. Vessel narrowing
results in ischemia.
Following a motor Oliguria signals tubular necrosis related to
vehicle collision, an hypoperfusion
adult female with a
ruptured spleen Rationale: Prolonged low blood pressure leads to
and a blood pressure renal ischemia, which is the common etiology of
of 70/44, had an acute tubular necrosis(ATN) Decreasing urine output
emergency is an
splenectomy. Twelve early indicator of ATN.
hours after the
surgery, her urine
output is 25 ml/hour
for the last two hours.
What
pathophysiological
reason supports the
nurse's decision to
report this
finding to the
healthcare provider